2017 AFMC Graduation Questionnaire - National Report

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Colleges' (AAMC) Canadian Graduation Questionnaire (CGQ) data from previous years cannot be made due .... acquired the c
GRADUATION QUESTIONNAIRE

NATIONAL REPORT 2017

GRADUATION QUESTIONNAIRE – NATIONAL REPORT 2017 — 2

Table of Contents Introduction .................................................................................................................................................. 4 Selected Findings .......................................................................................................................................... 6 Overall Rating of Medical Education ........................................................................................................... 7 Pre-clinical Education ................................................................................................................................... 8 Clinical Learning Experience ........................................................................................................................ 9 Professionalism .......................................................................................................................................... 18 Clinical Decision-Making and Clinical Care ................................................................................................ 20 General Skills .............................................................................................................................................. 25 Preparedness for Residency ....................................................................................................................... 27 Research ..................................................................................................................................................... 28 School Administration, Student Affairs and Student Services ................................................................. 29 Mistreatment ............................................................................................................................................. 37 Financial Information ................................................................................................................................. 41

Note: The results presented in these data tables are based on the responses of a self-selecting sample from a census of MD students eligible to graduate from a Canadian faculty of medicine as of January 2017. These responses should not be extrapolated to the entire medical student population. Comparisons to the Association of American Medical Colleges’ (AAMC) Canadian Graduation Questionnaire (CGQ) data from previous years cannot be made due to changes in the content of the questionnaire, as well as the method of administration. Percentages may not add to 100 due to rounding. For more information, please refer to the Association of Faculties of Medicine (AFMC) Graduation Questionnaire (GQ) Methodological Notes, available at www.afmc.ca.

GRADUATION QUESTIONNAIRE – NATIONAL REPORT 2017 — 3

Introduction The AFMC is proud to present the 2017 AFMC Graduation Questionnaire (AFMC GQ) National Report. The AFMC GQ is the result of the collaborative effort of medical educators, representatives from Canadian faculties of medicine, delegates of the Committee on Accreditation of Canadian Medical Schools (CACMS), students, and residents, supported by AFMC staff. Together, these groups worked closely to create the 2017 questionnaire. Based on feedback received about previous editions of the questionnaire, the 2017 AFMC GQ was significantly shortened; only the questions required

required for faculties to successfully complete the accreditation process were retained. With input from our colleagues at faculties of medicine in Quebec, the French version of the questionnaire was revised to better reflect the medical education context of our Francophone schools. As the AFMC GQ continues to evolve, comparisons to the 2015 and 2016 AFMC GQ results are not always possible. Comparisons to earlier results from the Association of American Medical Colleges’ (AAMC) Canadian Graduation Questionnaire (CGQ) are not made.

Data Collection and Reporting The target population for the 2017 AFMC GQ was the 2,845 students who were registered in active studies and, as of January 2017, eligible for graduation from their MD program at a Canadian faculty of medicine. The 2017 AFMC GQ was available in English and French between February 6, 2017 and May 31, 2017. Eligible students were e-mailed a unique, private link to gain access to the online survey. This customized URL was automatically generated by the online survey platform. Neither the AFMC nor the schools are able to link a student to their URL. In this way, participants were ensured anonymity.

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A questionnaire was considered completed if a respondent consented to the terms of the questionnaire and submitted the questionnaire. We received 1,919 completed questionnaires, for a response rate of 67.5%. To uphold rigorous standards of participant anonymity and the confidentiality of responses, only aggregate data are reported by AFMC. The AFMC produces a publicly available national report, combining data from all schools. Each faculty is also provided with a report that aggregates responses at the faculty and, if applicable, campus levels. These reports are not publicly disseminated by AFMC. No report is issued if there are fewer than 10 respondents for that reporting level (e.g., if a campus has fewer than 10 respondents). Responses to questions about finances or research experience could, on their own, reveal information about the identity of a respondent. For this reason, no results are reported when fewer than 5 respondents selected a response option for these questions. Individual-level data (microdata) will not be made publicly available by the AFMC.

Interpretation of Results Results obtained are not based on a random sample and respondents were self-selecting. For this reason, extreme caution must be applied when performing comparisons or drawing conclusions based on this non-random sample. The results presented in this report are representative of the students who responded to the 2017 AFMC GQ and should not be used to extrapolate information on the total student population. When appropriate, standard deviations of the results are presented. This statistic is useful to assess the distribution of the answers to a question. The standard deviations in this report are not meant to be used to build confidence intervals or infer statistical significance. For more information on the 2017 AFMC Graduation Questionnaire please send inquiries to [email protected]. For more detailed methodological notes, please visit www.afmc.ca/data-and-analysis/afmc-graduationquestionnaire.

The results presented in this report are representative of the students who responded to the 2017 AFMC GQ and should not be used to extrapolate information on the total student population.

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Selected Findings Overall Rating of Medical Education Graduates are leaving MD programs feeling Pre-clinical Education prepared for residency The majority of students finishing their MD Clinical Learning Experience programs feel well prepared to move into residency. 89.3% of respondents agreed or Professionalism strongly agreed that they were confident they had Clinical and aClinical Care acquired the Decision-making clinical skills to begin residency program. Over 95% agreed or strongly agreed that General they have the Skills confidence and knowledge to perform essential clinical skills such as take a Preparedness for Residency patient history, perform a physical exam, develop an appropriate differential diagnosis, and interpret Research laboratory results.

More students are becoming aware of mistreatment policies and reporting procedures In 2017, 94.5% of graduates reported that they were aware that their faculty had policies regarding the mistreatment of medical students, compared to 87.9% in 2015. In addition, the proportion of students who were familiar with procedures about how to report mistreatment has increased from 70.2% in 2015 to 79.2% in 2017.

Percentage of students with no debt increases, but median medical school debt rises The percentage of medical students graduating School Administration, Student Affairs and Student Services Students report on experiences in a with no debt increased slightly from 13.7% in 2016 Longitudinal Integrated Clerkship for the first to 15.0% in 2017; however, for those students with Mistreatment time debt, the median amount of debt increased from Financial Information The 2017 AFMC GQ was the first edition of the $80,000 in 2016 to $94,000 in 2017. Furthermore, questionnaire to include a suite of questions about the percentage of students graduating with debt respondents’ experiences in a Longitudinal exceeding $200,000 slightly increased from 9.9% Integrated Clerkship (LIC). 63.1% of students who in 2016 to 11.6% in 2017. reported on experiences in an LIC assessed their overall experience as very good or excellent. Further, 87.5% of LIC students said that they had access to a sufficient variety of patients and procedures to complete their encounter log, while 87.1% of students reported that they received feedback early enough to allow time to improve performance during their LIC. More students report participating in research projects with faculty The number of students participating in a research project with a faculty member increased from 64.4% in 2016 to 70.0% in 2017. It also appears that opportunities to conduct research may be becoming more readily available; the percentage of students who reported that the opportunity to conduct research was not available to them decreased from 6.7% in 2016 to 4.9% in 2017.

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Overall Rating of Medical Education 1

Please rate the quality of your medical education. Response options: Poor; Fair; Good; Very Good; Excellent. For the purposes of analysis, the response options listed above were coded from 1 to 5, respectively. 2015 Count

2015 Percent

2016 Count

2016 Percent

2017 Count

2017 Percent

Poor

6

0.3

9

0.5

17

0.9

Fair

83

3.9

51

2.9

65

3.4

445

20.8

363

20.8

369

19.2

1145

53.4

931

53.4

1006

52.5

465

21.7

388

22.3

460

24.0

Good Very Good Excellent Respondents: 1917 Mean: 3.95 Standard Deviation: 0.80

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Pre-clinical Education 2

The educational activities provided in my MD program in the following areas helped me better prepare for required clinical learning experiences and electives: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; Don't know; N/A. For the purposes of analysis, the response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree

Behavioural/Social Sciences

Biochemistry

Biostatistics and epidemiology

Genetics

Gross anatomy

Immunology

Microanatomy/Histology

Microbiology

Nutrition

Pathology

Pathophysiology

Pharmacology

Physiology

Radiology/Imaging

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

1.4

7.0

15.1

52.9

23.7

1807

3.90

0.89

2016

1.8

8.3

19.4

50.9

19.6

1631

3.78

0.92

2017

3.3

15.9

29.3

43.5

8.0

1797

3.37

0.95

2016

3.9

18.8

29.0

41.4

6.9

1636

3.29

0.98

2017

1.6

8.9

16.4

54.2

18.8

1882

3.80

0.90

2016

2.1

11.4

17.7

54.1

14.6

1716

3.68

0.93

2017

1.7

13.0

26.9

50.4

8.0

1855

3.50

0.88

2016

2.7

17.5

28.4

44.8

6.5

1699

3.35

0.93

2017

3.2

8.1

8.6

38.6

41.5

1888

4.07

1.05

2016

2.7

9.8

9.0

38.3

40.2

1717

4.03

1.06

2017

2.0

10.1

15.4

56.6

15.9

1885

3.74

0.91

2016

2.5

11.0

19.0

55.6

11.9

1720

3.63

0.92

2017

4.9

11.5

19.9

47.4

16.2

1872

3.59

1.04

2016

5.7

15.5

22.0

43.5

13.3

1702

3.43

1.08

2017

2.7

11.0

14.5

50.1

21.8

1881

3.77

0.99

2016

2.5

13.2

16.8

51.1

16.3

1716

3.66

0.98

2017

3.9

19.2

23.7

43.2

10.0

1863

3.36

1.02

2016

4.4

17.8

28.5

40.6

8.7

1686

3.31

1.01

2017

2.7

10.5

20.0

51.7

15.2

1871

3.66

0.95

2016

3.7

14.6

24.3

45.0

12.5

1710

3.48

1.01

2017

0.8

2.6

4.4

42.2

50.0

1869

4.38

0.76

2016

0.8

3.2

6.6

46.2

43.2

1706

4.28

0.79

2017

3.5

10.0

12.3

46.3

27.8

1888

3.85

1.05

2016

3.8

12.2

12.4

47.6

24.0

1722

3.76

1.06

2017

0.5

2.9

4.7

46.1

45.7

1877

4.34

0.75

2016

0.8

3.1

5.8

50.0

40.3

1698

4.26

0.77

2017

2.0

12.6

13.4

49.2

22.8

1884

3.78

1.00

2016

3.4

12.5

17.0

46.7

20.4

1714

3.68

1.04

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 8

Clinical Learning Experience 3a

Please rate the quality of your educational experiences in each of the following: Response options: Poor; Fair; Good; Very Good; Excellent; N/A. For the purposes of analysis, "Poor" to "Excellent" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 and 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) .

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Poor

Fair

Good

Very Good

Excellent

Count

Mean

Standard Deviation

2017

1.1

3.5

18.6

35.9

40.8

1862

4.12

0.91

2016

0.9

4.5

18.4

36.7

39.5

1698

4.09

0.91

2015

1.3

3.2

16.0

34.4

45.1

2079

4.19

0.91

2017

1.7

4.8

18.1

34.0

41.4

1891

4.09

0.96

2016

1.7

4.9

18.6

34.7

40.1

1744

4.07

0.96

2015

1.1

3.5

17.3

33.7

44.4

2129

4.17

0.91

2017

2.3

6.4

19.6

35.8

36.0

1897

3.97

1.01

2016

2.5

7.2

20.9

34.0

35.3

1739

3.92

1.04

2015

2.2

6.7

20.6

32.8

37.7

2132

3.97

1.02

2017

4.9

10.1

22.6

34.2

28.1

1892

3.71

1.13

2016

5.9

11.1

26.5

31.0

25.4

1733

3.59

1.15

2015

5.7

11.5

24.7

31.9

26.3

2133

3.62

1.15

2017

4.1

9.5

25.6

35.5

25.3

1887

3.68

1.08

2016

5.7

13.2

28.1

31.5

21.4

1741

3.50

1.13

2015

4.5

12.3

24.9

34.7

23.7

2135

3.61

1.11

2017

2.0

7.8

26.3

36.1

27.8

1881

3.80

1.00

2016

2.9

9.6

26.7

38.1

22.7

1734

3.68

1.02

2015

3.2

8.7

25.0

36.3

26.8

2124

3.75

1.04

2017

3.6

10.3

29.4

33.5

23.1

1886

3.62

1.06

2016

3.5

11.9

29.8

33.8

21.0

1740

3.57

1.06

2015

3.6

9.3

26.9

35.2

25.0

2131

3.69

1.06

2017

5.4

5.9

25.6

27.7

35.4

523

3.82

1.14

2016

x

x

x

x

x

x

x

x

2015

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 9

3b

Please rate the quality of your educational experiences in each of the following: Note:This table presents the overall total for respondents who provided a rating from "Poor" to "Excellent", as well as the totals for those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ.

Rated (Poor to Excellent)

N/A

No Response

Total Respondents (2017 AFMC GQ)

Emergency Medicine

1862

55

2

1919

Family Medicine

1891

25

3

1919

Medicine

1897

20

2

1919

Obstetrics/Gynecology

1892

22

5

1919

Pediatrics

1887

25

7

1919

Psychiatry

1881

33

5

1919

Surgery

1886

29

4

1919

523

1372

24

1919

Longitudinal Integrated Clerkship (LIC)

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4

Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. I had sufficient access to the variety of patients and procedures required to complete my encounter log. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Neither agree nor disagree

Disagree

Strongly Agree

Agree

Count

Mean

Standard Deviation

2017

0.3

3.8

3.2

45.8

46.9

1850

4.35

0.74

2016

0.6

3.2

4.7

48.2

43.3

1670

4.30

0.75

2017

0.5

3.4

4.1

37.4

54.6

1880

4.42

0.77

2016

0.4

2.7

4.8

41.8

50.3

1713

4.39

0.74

2017

1.0

5.4

4.8

39.0

49.9

1887

4.31

0.87

2016

1.4

3.5

6.1

47.7

41.3

1703

4.24

0.83

2017

2.2

6.8

7.9

43.8

39.4

1880

4.11

0.96

2016

2.0

7.7

8.1

47.6

34.6

1708

4.05

0.95

2017

1.6

8.0

8.2

45.0

37.1

1879

4.08

0.96

2016

2.4

7.6

8.5

49.7

31.7

1709

4.01

0.96

2017

1.0

6.2

6.4

43.3

43.1

1867

4.21

0.89

2016

1.4

5.4

7.1

49.1

37.0

1698

4.15

0.87

2017

1.1

5.5

6.7

50.4

36.2

1876

4.15

0.85

2016

1.2

6.0

6.7

55.0

31.0

1706

4.09

0.85

2017

1.2

3.2

8.1

43.2

44.3

431

4.26

0.83

2016

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 11

5

Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. I was given appropriate responsibility for patient care. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Neither agree nor disagree

Disagree

Strongly Agree

Agree

Count

Mean

Standard Deviation

2017

0.1

0.5

2.7

43.2

53.6

1856

4.50

0.58

2016

0.1

0.8

2.2

46.5

50.3

1675

4.46

0.60

2017

0.3

1.9

3.9

36.3

57.6

1887

4.49

0.69

2016

0.3

2.0

3.1

41.1

53.4

1716

4.45

0.69

2017

0.8

3.1

5.9

41.0

49.1

1891

4.34

0.80

2016

0.8

2.8

4.6

47.4

44.4

1708

4.32

0.76

2017

2.7

7.3

10.4

46.1

33.5

1884

4.01

0.98

2016

2.0

7.0

9.8

50.2

30.9

1711

4.01

0.93

2017

1.8

5.2

7.0

47.8

38.2

1883

4.15

0.89

2016

1.8

5.8

7.8

50.8

33.8

1714

4.09

0.89

2017

1.2

5.3

7.5

44.0

42.0

1870

4.20

0.88

2016

1.5

4.9

6.9

49.1

37.6

1703

4.16

0.87

2017

1.3

6.8

10.8

50.3

30.8

1881

4.02

0.90

2016

1.6

5.9

8.2

55.2

29.1

1712

4.04

0.87

2017

0.7

2.1

8.6

44.4

44.2

428

4.29

0.77

2016

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 12

6

Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. The supervision I received ensured my safety. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Neither agree nor disagree

Disagree

Strongly Agree

Agree

Count

Mean

Standard Deviation

2017

0.1

0.5

2.4

41.2

55.8

1852

4.52

0.59

2016

0.2

0.9

2.0

44.3

52.6

1669

4.48

0.60

2017

0.2

0.5

2.3

35.6

61.5

1884

4.58

0.58

2016

0.2

0.9

2.1

40.4

56.3

1714

4.52

0.61

2017

0.5

2.7

5.0

41.5

50.3

1886

4.38

0.75

2016

0.9

1.1

4.9

49.6

43.5

1708

4.34

0.70

2017

1.0

2.0

5.2

47.7

44.1

1882

4.32

0.75

2016

0.6

1.5

4.7

54.4

38.7

1709

4.29

0.68

2017

0.4

1.1

2.7

47.8

47.9

1877

4.42

0.64

2016

0.6

1.1

3.9

51.7

42.8

1711

4.35

0.66

2017

1.1

2.3

5.2

42.9

48.6

1872

4.36

0.77

2016

0.6

1.6

4.9

50.6

42.3

1701

4.32

0.70

2017

1.0

2.6

5.6

52.2

38.7

1879

4.25

0.75

2016

0.7

2.9

5.3

58.0

33.1

1705

4.20

0.72

2017

0.7

1.9

7.9

45.9

43.6

431

4.30

0.75

2016

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 13

7

Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. The supervision I received ensured the safety of the patients for whom I provided care. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Neither agree nor disagree

Disagree

Strongly Agree

Agree

Count

Mean

Standard Deviation

2017

0.1

0.5

2.5

41.0

55.9

1855

4.52

0.58

2016

0.2

1.0

2.6

44.8

51.4

1670

4.46

0.62

2017

0.1

0.5

2.5

35.1

61.7

1887

4.58

0.58

2016

0.5

1.0

2.1

40.8

55.6

1716

4.50

0.64

2017

0.8

4.2

5.6

41.0

48.4

1888

4.32

0.82

2016

0.8

2.6

6.9

46.7

43.0

1706

4.28

0.77

2017

1.0

2.0

5.5

45.8

45.7

1883

4.33

0.76

2016

0.6

1.8

4.6

53.5

39.6

1706

4.30

0.69

2017

0.6

1.3

2.6

44.5

51.0

1879

4.44

0.67

2016

0.6

1.3

3.7

50.3

44.0

1712

4.36

0.68

2017

1.0

1.4

4.1

43.8

49.8

1868

4.40

0.72

2016

0.8

1.1

4.0

50.7

43.4

1705

4.35

0.68

2017

1.1

2.8

6.3

50.2

39.6

1878

4.24

0.78

2016

0.9

3.4

6.0

56.3

33.4

1707

4.18

0.76

2017

0.7

1.6

7.2

45.2

45.2

429

4.33

0.74

2016

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 14

8

Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. A faculty member or resident observed me taking a patient history. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Neither agree nor disagree

Disagree

Strongly Agree

Agree

Count

Mean

Standard Deviation

2017

2.7

15.1

7.9

41.3

33.1

1842

3.87

1.11

2016

4.4

16.6

9.2

38.7

31.1

1644

3.75

1.19

2017

1.4

6.3

3.8

37.3

51.2

1880

4.30

0.92

2016

2.2

5.9

4.8

41.1

46.0

1693

4.23

0.95

2017

1.8

10.1

6.3

40.6

41.2

1885

4.09

1.01

2016

3.1

9.0

6.4

42.4

39.0

1691

4.05

1.04

2017

3.3

13.1

8.6

42.4

32.6

1876

3.88

1.10

2016

4.9

13.5

8.2

44.8

28.5

1686

3.79

1.14

2017

1.4

7.6

5.2

46.1

39.8

1874

4.15

0.93

2016

3.0

5.5

4.5

49.9

37.2

1703

4.13

0.94

2017

1.0

2.8

3.2

39.6

53.5

1868

4.42

0.77

2016

1.5

2.5

3.4

46.3

46.3

1696

4.33

0.79

2017

4.1

18.4

11.4

39.8

26.3

1870

3.66

1.17

2016

6.2

17.1

8.6

45.1

23.0

1686

3.62

1.19

2017

0.7

4.0

10.0

44.4

40.9

428

4.21

0.83

2016

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 15

9

Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. A faculty member or resident observed me performing a physical examination [mental examination for Psychiatry]. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. In the 2017 AFMC GQ, the wording of the question was changed from “physical examination” to “mental status examination” for Psychiatry; 2016 and 2017 results may not be directly comparable as a result. Ratings (%) Strongly Disagree

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Neither agree nor disagree

Disagree

Strongly Agree

Agree

Count

Mean

Standard Deviation

2017

2.3

10.9

5.6

46.7

34.5

1839

4.00

1.02

2016

3.8

13.0

8.0

43.6

31.7

1652

3.86

1.11

2017

1.1

4.5

3.1

39.7

51.6

1879

4.36

0.84

2016

1.6

4.4

4.3

42.4

47.2

1698

4.29

0.87

2017

1.0

5.5

4.1

43.9

45.5

1885

4.27

0.85

2016

2.1

5.1

4.5

45.7

42.6

1701

4.22

0.91

2017

2.4

5.3

4.5

47.6

40.1

1876

4.18

0.92

2016

3.3

7.3

5.5

48.2

35.7

1694

4.06

1.00

2017

1.2

4.6

3.5

49.1

41.7

1875

4.26

0.82

2016

2.1

4.2

4.0

50.6

39.0

1701

4.20

0.87

2017

0.9

3.3

4.0

39.2

52.5

1803

4.39

0.79

2016

2.3

4.5

6.6

44.9

41.6

1325

4.19

0.92

2017

3.8

13.8

9.7

44.4

28.3

1872

3.79

1.11

2016

5.3

13.7

7.5

48.4

25.1

1688

3.74

1.13

2017

0.5

3.5

9.6

44.9

41.6

428

4.24

0.80

2016

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 16

10

Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. I received feedback early enough to allow me time to improve my performance. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree

Emergency Medicine

Family Medicine

Medicine

Obstetrics/Gynecology

Pediatrics

Psychiatry

Surgery

Longitudinal Integrated Clerkship (LIC)

Neither agree nor disagree

Disagree

Strongly Agree

Agree

Count

Mean

Standard Deviation

2017

0.8

2.8

6.9

45.2

44.3

1849

4.30

0.78

2016

0.7

3.6

7.4

49.7

38.6

1665

4.22

0.79

2017

1.1

2.7

5.0

42.0

49.2

1880

4.35

0.79

2016

1.1

3.2

5.7

45.1

44.9

1707

4.29

0.80

2017

1.5

5.3

7.3

44.6

41.3

1888

4.19

0.89

2016

1.5

4.6

6.8

50.4

36.7

1702

4.16

0.85

2017

2.6

6.7

11.3

47.7

31.7

1880

3.99

0.96

2016

2.4

7.5

11.0

50.1

29.0

1707

3.96

0.96

2017

1.7

4.1

7.1

49.0

38.1

1877

4.18

0.86

2016

1.8

3.5

6.4

55.1

33.2

1708

4.14

0.82

2017

1.8

3.5

6.3

45.9

42.5

1866

4.24

0.86

2016

1.2

3.6

7.6

51.6

36.1

1690

4.18

0.81

2017

3.0

7.1

14.0

48.7

27.2

1877

3.90

0.98

2016

2.8

7.5

11.7

54.0

24.1

1708

3.89

0.95

2017

1.6

2.5

8.8

44.2

42.9

434

4.24

0.84

2016

x

x

x

x

x

x

x

x

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 17

Professionalism 11

For each of the following beliefs/values and behaviours, indicate your level of agreement that it was emphasized in your medical education program. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree

A commitment to advocate at all times the interest of one’s patients over one’s own interests

A commitment to advocate for access to health care for members of traditionally underserved populations

The need to engage in lifelong learning to stay abreast of relevant scientific advances

The threats to medical professionalism posed by conflicts of interest

The compassionate treatment of patients

Respect for the privacy and dignity of patients

The value of honesty and integrity in all professional interactions

The principles that govern ethical decision-making

The major ethical dilemmas that arise in medicine

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

0.3

1.8

8.8

56.6

32.4

1912

4.19

0.69

2016

0.3

1.6

7.6

59.2

31.3

1729

4.20

0.67

2017

0.4

2.6

9.8

53.2

34.0

1912

4.18

0.74

2016

0.4

2.7

7.7

56.6

32.6

1727

4.18

0.72

2017

0.1

1.3

5.9

49.7

42.9

1907

4.34

0.66

2016

0.3

1.4

4.8

52.3

41.1

1728

4.33

0.66

2017

0.8

5.1

17.2

53.8

23.1

1910

3.93

0.82

2016

0.6

4.5

13.7

58.1

23.1

1727

3.99

0.77

2017

0.3

0.9

5.0

48.7

45.1

1910

4.37

0.65

2016

0.1

1.1

3.5

50.4

44.8

1724

4.39

0.62

2017

0.3

0.9

4.0

48.4

46.4

1911

4.40

0.64

2016

0.1

1.0

3.2

50.3

45.3

1727

4.40

0.62

2017

0.4

2.0

5.3

50.1

42.2

1908

4.32

0.70

2016

0.2

1.5

5.0

53.6

39.7

1727

4.31

0.65

2017

0.4

1.6

6.3

55.1

36.5

1910

4.26

0.68

2016

0.2

1.2

6.1

57.6

34.9

1731

4.26

0.64

2017

0.5

1.6

7.7

56.4

33.7

1910

4.21

0.69

2016

0.2

1.9

7.3

55.9

34.7

1728

4.23

0.68

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 18

Ratings (%) Strongly Disagree

The recognition and acceptance of limitations in one’s own knowledge and skills

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

0.5

3.0

8.6

54.6

33.2

1913

4.17

0.75

2016

0.6

2.0

8.1

56.4

32.8

1721

4.19

0.72

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 19

Clinical Decision-Making and Clinical Care 12

Please indicate whether you agree or disagree with the following statements. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree

I was appropriately trained to care for individuals from diverse backgrounds

Overall my clinical experiences highlighted the need to understand and incorporate diversity and culture in delivering patient care

I feel prepared to provide culturally competent care

I feel prepared to integrate the social determinants of health into an appropriate management plan

I feel appropriately prepared to advocate for my future patients

I feel appropriately prepared to advocate for the communities of my future patients to better meet their health needs

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

0.8

3.5

9.6

56.9

29.3

1916

4.10

0.77

2016

0.3

3.7

9.8

60.8

25.4

1730

4.07

0.72

2017

0.6

3.7

10.2

54.3

31.3

1915

4.12

0.78

2016

0.6

3.2

9.7

57.0

29.5

1730

4.12

0.75

2017

0.6

6.0

17.2

53.0

23.2

1914

3.92

0.83

2016

0.4

5.9

16.9

54.2

22.6

1731

3.93

0.81

2017

0.2

3.2

8.7

56.1

31.7

1913

4.16

0.72

2016

0.3

2.4

9.4

58.9

29.0

1724

4.14

0.70

2017

0.2

1.8

7.6

54.5

35.9

1911

4.24

0.68

2016

0.1

1.5

5.9

57.7

34.8

1730

4.26

0.64

2017

0.4

3.8

13.5

55.1

27.2

1910

4.05

0.77

2016

0.5

3.6

11.6

57.8

26.5

1725

4.06

0.75

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 20

13

Please indicate whether you agree or disagree with the following statements. When presented with a variety of patients I am confident that I have the knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree

Take a patient's history

Perform a physical examination

Develop an appropriate differential diagnosis

Reason clinically

Interpret imaging reports for common health problems

Interpret laboratory results

Develop an appropriate management plan

Care for patients in a hospital setting

Care for patients in an ambulatory setting

Recognize medical errors and their causes

Assess the quality of care

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

0.1

0.1

0.8

24.2

74.9

1914

4.74

0.47

2016

0.0

0.1

1.0

26.0

72.8

1733

4.72

0.48

2017

0.1

0.3

1.5

35.5

62.6

1910

4.60

0.54

2016

0.1

0.3

1.5

35.5

62.6

1733

4.60

0.55

2017

0.2

0.6

2.8

52.8

43.6

1913

4.39

0.59

2016

0.1

0.5

2.9

52.4

44.1

1735

4.40

0.58

2017

0.1

0.6

2.6

50.3

46.3

1910

4.42

0.59

2016

0.0

0.2

2.2

50.8

46.9

1735

4.44

0.55

2017

0.4

4.5

12.5

56.7

25.9

1914

4.03

0.77

2016

0.9

4.8

11.4

57.6

25.3

1737

4.02

0.80

2017

0.1

0.9

3.7

58.2

37.2

1914

4.32

0.59

2016

0.1

0.6

3.9

58.8

36.6

1735

4.31

0.58

2017

0.2

1.3

7.2

66.2

25.2

1912

4.15

0.61

2016

0.1

1.6

8.0

63.1

27.3

1735

4.16

0.63

2017

0.2

0.9

5.9

57.6

35.5

1913

4.27

0.63

2016

0.0

1.0

5.6

56.8

36.5

1735

4.29

0.61

2017

0.1

0.9

5.1

60.4

33.6

1913

4.26

0.60

2016

0.1

1.6

5.5

60.8

32.0

1734

4.23

0.63

2017

0.3

2.8

16.8

59.3

20.8

1910

3.97

0.72

2016

0.0

2.8

16.0

61.1

20.1

1734

3.99

0.69

2017

0.3

3.9

19.8

55.2

20.8

1907

3.92

0.76

2016

0.3

4.2

17.6

57.7

20.2

1727

3.93

0.75

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 21

14

Evidence-Informed Medicine Please indicate whether you agree or disagree with the following statements. I am confident that I have the knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree

Incorporate evidence-informed decision-making into patient care

Access evidence-informed treatment guidelines

15

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

0.2

1.8

7.8

58.9

31.4

1913

4.19

0.67

2016

0.6

3.6

9.5

64.4

21.8

1731

4.03

0.72

2017

0.2

1.5

5.9

53.7

38.8

1910

4.29

0.66

2016

0.5

1.8

6.6

61.5

29.6

1728

4.18

0.67

Population-Based Medicine Do you believe that your instruction in each of the following areas was inadequate, appropriate, or excessive? Response options: Inadequate; Appropriate; Excessive. Note: Percentages (ratings) add to 100 across rows, not columns. Ratings (%) .

Inadequate

Health promotion and disease prevention

Screening for diseases

Infectious disease prevention

Risk assessment and counselling

Health determinants including social determinants

Appropriate

Excessive

Count

2017

8.7

88.1

3.2

1910

2016

9.0

88.6

2.4

1725

2015

8.3

88.0

3.7

2130

2017

4.1

94.0

1.9

1908

2016

5.3

93.6

1.1

1725

2015

4.5

93.3

2.3

2129

2017

10.1

86.9

3.0

1910

2016

10.0

87.1

3.0

1724

2015

8.3

87.6

4.1

2128

2017

14.9

83.5

1.6

1910

2016

13.7

85.2

1.1

1727

2015

14.7

83.5

1.7

2123

2017

7.0

78.7

14.3

1904

2016

9.4

77.4

13.2

1721

2015

8.3

79.1

12.6

2120

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 22

16

Other Medical Topics Do you believe that your instruction in each of the following areas was inadequate, appropriate, or excessive? Response options: Inadequate; Appropriate; Excessive. Note: Percentages (ratings) add to 100 across rows, not columns. Ratings (%) .

Inadequate

Long-term healthcare

Continuity of care

Pain management

Health policy

Health care systems

Law & medicine

Behavioural sciences

Complementary and alternative medicine

Human sexuality

End-of-life/palliative care

Family/domestic violence

Appropriate

Excessive

Count

2017

26.5

72.5

0.9

1910

2016

22.6

76.6

0.8

1731

2015

20.7

78.3

1.0

2120

2017

12.9

85.8

1.4

1911

2016

12.7

86.4

0.9

1730

2015

10.7

87.9

1.4

2121

2017

27.1

71.5

1.4

1912

2016

28.1

71.2

0.7

1733

2015

27.5

71.1

1.5

2120

2017

34.6

63.0

2.4

1912

2016

36.2

62.2

1.6

1732

2015

35.3

63.4

1.4

2118

2017

27.7

69.4

2.8

1910

2016

30.0

68.0

2.0

1730

2015

31.0

67.7

1.3

2118

2017

30.4

66.7

2.9

1908

2016

29.9

68.8

1.3

1733

2015

32.0

65.9

2.1

2117

2017

19.2

78.8

2.0

1911

2016

20.3

78.7

1.0

1728

2015

17.6

80.6

1.8

2115

2017

32.1

58.5

9.4

1911

2016

31.3

60.9

7.8

1731

2015

30.9

62.5

6.5

2117

2017

23.3

73.5

3.1

1909

2016

24.8

73.0

2.3

1732

2015

23.5

73.9

2.5

2119

2017

17.1

81.3

1.6

1912

2016

19.7

79.4

0.9

1732

2015

19.3

79.1

1.6

2121

2017

23.3

75.1

1.5

1911

2016

24.3

74.9

0.8

1731

2015

24.3

74.9

0.8

2118

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 23

Ratings (%) .

Drug and alcohol abuse

Ethics/Humanism

Inadequate

Appropriate

Excessive

Count

2017

12.9

85.1

2.0

1910

2016

13.3

85.4

1.3

1733

2015

12.8

85.6

1.6

2116

2017

6.7

87.9

5.4

1907

2016

8.0

87.7

4.2

1729

2015

7.5

88.4

4.1

2110

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 24

General Skills 17

Communication Skills Please indicate your level of agreement with the following statements. I am confident that I have the appropriate knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree

Communicate effectively with patients and their families

Communicate with other physicians

Communicate with other health professionals

Provide safe-sex counselling to patients

Discuss options with a patient and/or family members who request unnecessary/unwarranted tests or procedures

Discuss the health practices of a patient using alternate therapies

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

0.0

0.1

2.0

37.7

60.1

1911

4.58

0.54

2016

0.0

0.2

1.2

42.3

56.3

1729

4.55

0.53

2017

0.1

0.6

3.2

46.9

49.2

1911

4.45

0.60

2016

0.0

0.3

2.1

51.4

46.2

1729

4.43

0.56

2017

0.1

0.4

2.2

46.7

50.7

1906

4.48

0.57

2016

0.1

0.0

1.9

48.7

49.3

1730

4.47

0.54

2017

0.3

2.4

8.1

53.0

36.3

1913

4.23

0.71

2016

0.1

2.7

7.4

55.5

34.3

1730

4.21

0.69

2017

0.1

2.8

7.9

59.4

29.8

1912

4.16

0.69

2016

0.1

3.3

8.0

60.3

28.3

1725

4.13

0.70

2017

0.5

8.4

17.9

52.3

20.9

1905

3.85

0.86

2016

0.9

7.8

13.6

54.3

23.4

1721

3.92

0.87

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 25

18

Information Technology Skills Please indicate your level of agreement with the following statement. I am confident that I have the appropriate knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree

Use technology to access information at the time of a patient encounter if needed

Disagree

Neither agree nor disagree

Agree

Strongly Agree

Count

Mean

Standard Deviation

2017

4.6

0.9

5.2

47.8

41.5

1911

4.21

0.94

2016

0.2

0.8

2.8

53.1

43.2

1728

4.38

0.60

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 26

Preparedness for Residency 19

I am confident that I have developed the clinical skills required to begin a residency program. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Comparison to 2015 data is not possible for this question. 2016 Count

2016 Percent

2017 Count

2017 Percent

Strongly Disagree

24

1.4

23

1.2

Disagree

40

2.3

35

1.8

136

7.9

147

7.7

1047

60.6

1142

59.6

482

27.9

568

29.7

Neither agree nor disagree Agree Strongly Agree Respondents: 1915 Mean: 4.15 Standard Deviation: 0.73

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 27

Research 20

I participated in a research project or other scholarly activity with a faculty member. Response options: Yes; No, I was not interested; No, the opportunity was not available; No, other. Note: Comparison to 2015 data is not possible for this question. 2016 Count

2016 Percent

2017 Count

2017 Percent

1113

64.4

1342

70.0

No, I was not interested

436

25.2

350

18.3

No, the opportunity was not available

116

6.7

93

4.9

63

3.6

131

6.8

Yes

No, other Respondents: 1916

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 28

School Administration, Student Affairs and Student Services 21a

Please indicate your level of satisfaction with the following. Office of the Associate Dean for Educational Programs/Medical Education Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)

Accessibility

Responsiveness to student problems

Includes students on key medical school committees and working groups

21b

Very Dissatisfied

Dissatisfied

Neither satisfied nor dissatisfied

2017

2.1

4.7

11.9

48.0

2016

0.8

3.4

11.1

2017

5.0

10.6

2016

3.8

2017

2016

Count

Mean

Standard Deviation

33.4

1724

4.06

0.91

51.5

33.2

1634

4.13

0.80

14.7

41.1

28.7

1763

3.78

1.12

9.0

14.9

41.5

30.9

1662

3.87

1.07

1.7

2.4

12.7

46.7

36.5

1739

4.14

0.85

1.0

2.3

10.7

50.8

35.2

1649

4.17

0.78

Satisfied

Very Satisfied

Please indicate your level of satisfaction with the following. Office of the Associate Dean for Educational Programs/Medical Education Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)

N/A

No Response

Total Respondents (2017 AFMC GQ)

Accessibility

1724

187

8

1919

Responsiveness to student problems

1763

147

9

1919

Includes students on key medical school committees and working groups

1739

170

10

1919

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 29

22a

Please indicate your level of satisfaction with the following. Office of Student Affairs/Student support services team Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)

Accessibility

Responsiveness to student problems

Includes students on key medical school committees and working groups

Academic advising/counselling

Personal counselling

Financial aid administrative services

Overall educational debt management counselling

Very Dissatisfied

Dissatisfied

Neither satisfied nor dissatisfied

2017

1.0

2.5

6.9

43.6

2016

0.7

3.1

7.0

2017

1.7

5.3

2016

1.4

2017

Count

Mean

Standard Deviation

46.1

1788

4.31

0.78

47.7

41.5

1663

4.26

0.78

9.1

41.4

42.5

1782

4.18

0.92

4.5

9.6

45.7

38.8

1659

4.16

0.87

0.8

1.8

10.6

46.6

40.2

1695

4.23

0.77

2016

0.6

1.5

8.7

52.4

36.8

1614

4.23

0.71

2017

3.0

7.3

11.9

41.9

35.8

1691

4.00

1.02

2016

2.2

5.6

10.8

45.4

36.0

1587

4.07

0.94

2017

2.5

5.7

10.9

39.4

41.4

1491

4.11

0.98

2016

2.2

4.8

11.3

43.7

37.9

1322

4.10

0.93

2017

1.8

5.4

16.9

44.5

31.3

1453

3.98

0.93

2016

1.9

5.5

14.8

46.2

31.6

1404

4.00

0.92

2017

2.7

9.6

20.0

41.7

26.1

1461

3.79

1.02

2016

3.0

9.1

19.1

42.9

25.9

1418

3.80

1.02

Satisfied

Very Satisfied

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 30

22b

Please indicate your level of satisfaction with the following. Office of Student Affairs/Student support services team Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)

N/A

No Response

Total Respondents (2017 AFMC GQ)

Accessibility

1788

124

7

1919

Responsiveness to student problems

1782

129

8

1919

Includes students on key medical school committees and working groups

1695

217

7

1919

Academic advising/counselling

1691

220

8

1919

Personal counselling

1491

417

11

1919

Financial aid administrative services

1453

458

8

1919

Overall educational debt management counselling

1461

449

9

1919

23a

How satisfied are you with programs/activities that promote effective stress management, a balanced lifestyle and overall wellbeing? Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Comparison to 2015 data is not possible for this question. 2016 Count

2016 Percent

2017 Count

2017 Percent

52

3.1

67

3.6

Dissatisfied

155

9.2

191

10.1

Neither satisfied nor dissatisfied

344

20.4

349

18.5

Satisfied

829

49.2

914

48.5

Very Satisfied

306

18.1

363

19.3

Very Dissatisfied

Respondents: 1884 Mean: 3.7 Standard Deviation: 1.01

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 31

23b

How satisfied are you with programs/activities that promote effective stress management, a balanced lifestyle and overall wellbeing? Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ.

Rated (Very Dissatisfied to Very Satisfied) N/A No Response

2017 Count

2017 Percent

1884

98.2

27

1.4

8

0.4

Respondents: 1919

24a

Please indicate your level of satisfaction with the following: Career Planning Services Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)

Career planning services

Information about specialties

Information about the changing workforce environment

Guidance when choosing electives

Very Dissatisfied

Dissatisfied

Neither satisfied nor dissatisfied

2017

4.4

14.4

21.0

46.5

2016

3.8

13.0

19.5

2017

3.8

11.0

2016

3.0

2017

Count

Mean

Standard Deviation

13.7

1810

3.51

1.04

49.9

13.7

1617

3.57

1.01

17.4

52.0

15.8

1863

3.65

0.99

10.9

15.6

55.2

15.4

1684

3.69

0.96

5.5

22.3

28.9

34.2

9.2

1833

3.19

1.06

2016

5.2

22.3

25.0

38.2

9.3

1640

3.24

1.06

2017

8.7

22.2

25.7

32.9

10.5

1840

3.14

1.14

2016

7.2

22.9

25.2

35.2

9.5

1669

3.17

1.11

Satisfied

Very Satisfied

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 32

24b

Please indicate your level of satisfaction with the following: Career Planning Services Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)

N/A

No Response

Total Respondents (2017 AFMC GQ)

Career planning services

1810

102

7

1919

Information about specialties

1863

45

11

1919

Information about the changing workforce environment

1833

79

7

1919

Guidance when choosing electives

1840

69

10

1919

25a

Please indicate your level of satisfaction with the following: Student Health Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)

Student health services

Student mental health services

Awareness of and access to student disability insurance

Education about exposure to and prevention of infectious diseases (e.g., needle stick injury procedures)

Very Dissatisfied

Dissatisfied

Neither satisfied nor dissatisfied

2017

1.9

5.2

15.7

54.7

2016

1.8

5.1

12.7

2017

2.9

7.7

2016

2.5

2017

Count

Mean

Standard Deviation

22.5

1668

3.91

0.87

57.6

22.8

1512

3.95

0.85

18.9

47.9

22.6

1427

3.80

0.97

6.0

17.4

53.0

21.1

1288

3.84

0.91

2.6

9.3

20.7

47.9

19.5

1615

3.72

0.97

2016

2.2

6.9

21.9

49.8

19.2

1402

3.77

0.91

2017

1.1

5.3

14.3

57.5

21.8

1838

3.93

0.82

2016

0.8

3.8

13.7

59.3

22.4

1648

3.99

0.77

Satisfied

Very Satisfied

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 33

25b

Please indicate your level of satisfaction with the following: Student Health Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)

N/A

No Response

Total Respondents (2017 AFMC GQ)

Student health services

1668

242

9

1919

Student mental health services

1427

482

10

1919

Awareness of and access to student disability insurance

1615

294

10

1919

Education about exposure to and prevention of infectious diseases (e.g., needle stick injury procedures)

1838

65

16

1919

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 34

26

I know what to do if I am exposed to an infectious or environmental hazard like a needle stick injury. Response options: Yes; No 2015 Count

2015 Percent

2016 Count

2016 Percent

2017 Count

2017 Percent

Yes

1933

91.5

1584

92.0

1738

91.1

No

179

8.5

137

8.0

170

8.9

Respondents: 1908

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 35

27a

Please indicate your level of satisfaction with the following: Other Student Services Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)

Student study space

Student relaxation space

Library

Access to computers

Access to internet

27b

Very Dissatisfied

Dissatisfied

Neither satisfied nor dissatisfied

2017

2.1

7.2

7.7

46.0

2016

1.9

7.2

7.6

2017

2.5

10.5

2016

3.2

2017

Count

Mean

Standard Deviation

37.0

1886

4.09

0.96

50.4

32.9

1709

4.05

0.93

13.1

46.3

27.5

1880

3.86

1.02

10.7

12.1

49.4

24.6

1689

3.81

1.02

1.9

6.6

9.7

46.4

35.4

1875

4.07

0.94

2016

1.2

4.6

7.3

54.6

32.4

1706

4.12

0.82

2017

1.3

4.8

9.6

49.4

35.0

1865

4.12

0.86

2016

1.1

3.7

7.6

54.1

33.4

1688

4.15

0.80

2017

0.5

4.1

5.9

46.8

42.7

1906

4.27

0.79

2016

0.8

2.9

5.4

50.6

40.3

1718

4.27

0.76

Satisfied

Very Satisfied

Please indicate your level of satisfaction with the following: Other Student Services Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)

N/A

No Response

Total Respondents (2017 AFMC GQ)

Student study space

1886

27

6

1919

Student relaxation space

1880

30

9

1919

Library

1875

36

8

1919

Access to computers

1865

47

7

1919

Access to internet

1906

7

6

1919

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 36

Mistreatment For reporting purposes, the two questions regarding school policies and procedures related to possible mistreatment of medical students are included in this section. Please note that these questions did not appear together with the questions about behaviours experienced during medical school (the results of which form the rest of this chapter). The questions relating to “behaviours experienced” did not use the word “mistreatment” to avoid imparting bias to responses. The questions in this section of the GQ may be particularly sensitive for students and schools. To protect student anonymity, the results of the series of questions asking about the frequency of the behaviours experienced are reported at an aggregate level only. 28

Are you aware that your school has policies regarding the mistreatment of medical students? Response options: Yes; No 2015 Count

2015 Percent

2016 Count

2016 Percent

2017 Count

2017 Percent

Yes

1868

87.9

1601

92.4

1806

94.5

No

257

12.1

131

7.6

106

5.5

Respondents: 1912

29

Do you know the procedure at your school for reporting the mistreatment of medical students? Response options: Yes; No 2015 Count

2015 Percent

2016 Count

2016 Percent

2017 Count

2017 Percent

Yes

1490

70.2

1297

74.9

1515

79.2

No

634

29.8

434

25.1

398

20.8

Respondents: 1913

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 37

30a

For each of the following behaviours, please indicate the frequency you personally experienced that behaviour during medical school. Include in your response any behaviours performed by faculty, nurses, residents/interns, other institution employees or staff, and other students. Please do not include behaviours performed by patients and their families. During medical school, how frequently have you been: Response options: Never; Once; Occasionally (2-4 times); Frequently (5 or more times). For the purposes of analysis, "Never" to "Frequently" were coded from 1 to 4, respectively. Note: The option to report on being "Publicly embarrassed" was removed from the 2017 AFMC GQ. This has resulted in an increase in the reported frequency of being humiliated. Consequently, the results from 2017 for "Publicly humiliated" are not directly comparable to previous years and should not be interpreted as such. Percentages (ratings) add to 100 across rows, not columns. Ratings (%)

.

Never

Occasionally (2-4 times)

Once

Frequently (5 or more times)

Count

Mean

Standard Deviation

Publicly humiliated - not comparable to 2015/2016 data (see note above)

2017

55.9

20.3

21.1

2.7

1911

1.71

0.89

Publicly humiliated - see note above

2016

70.7

14.2

12.8

2.3

1729

1.47

0.80

Publicly humiliated - see note above

2015

71.4

14.6

12.4

1.6

2125

1.44

0.77

Threatened with physical harm

2017

98.1

1.4

0.4

0.1

1912

1.02

0.19

2016

97.4

2.1

0.5

0.0

1730

1.03

0.20

2015

97.6

1.9

0.3

0.2

2125

1.03

0.22

2017

98.4

1.3

0.2

0.1

1913

1.02

0.16

2016

98.6

1.2

0.2

0.1

1727

1.02

0.16

2015

98.3

1.5

0.1

0.1

2124

1.02

0.17

2017

89.3

5.2

5.0

0.5

1911

1.17

0.52

2016

85.7

6.5

6.7

1.2

1725

1.23

0.62

2015

87.5

5.2

6.4

0.8

2122

1.21

0.59

2017

93.7

3.0

3.0

0.3

1913

1.10

0.41

2016

95.2

2.7

1.8

0.3

1726

1.07

0.35

2015

94.0

3.4

2.4

0.2

2127

1.09

0.38

2017

99.8

0.1

0.1

0.0

1913

1.00

0.07

2016

99.9

0.0

0.1

0.0

1727

1.00

0.05

2015

99.5

0.3

0.1

0.1

2124

1.01

0.13

2017

90.1

3.8

4.4

1.8

1913

1.18

0.58

2016

90.9

3.9

4.0

1.2

1729

1.15

0.53

2015

91.1

3.0

4.6

1.4

2124

1.16

0.56

Physically harmed

Required to perform personal services

Subjected to unwanted sexual advances

Asked to exchange sexual favours for grades or other rewards

Denied opportunities for training or rewards based on gender

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 38

Ratings (%)

.

Subjected to offensive sexist remarks/names

Received lower evaluations/grades based on gender

Denied opportunities for training or rewards based on race or ethnicity

Subjected to racially or ethnically offensive remarks/names

Received lower evaluations or grades solely because of race or ethnicity rather than performance

Denied opportunities for training or rewards based on sexual orientation

Subjected to offensive remarks/names related to sexual orientation

Received lower evaluations or grades solely because of sexual orientation rather than performance

Never

Occasionally (2-4 times)

Once

Frequently (5 or more times)

Count

Mean

Standard Deviation

2017

75.2

9.9

11.8

3.1

1911

1.43

0.82

2016

79.7

8.3

9.8

2.2

1730

1.35

0.74

2015

84.0

6.6

7.9

1.6

2125

1.27

0.67

2017

95.7

2.9

1.0

0.5

1911

1.06

0.33

2016

97.2

1.6

1.1

0.2

1724

1.04

0.27

2015

96.6

2.2

1.0

0.2

2122

1.05

0.28

2017

97.3

1.1

1.0

0.6

1912

1.05

0.32

2016

97.5

1.0

1.0

0.5

1727

1.05

0.31

2015

98.1

0.9

0.7

0.3

2122

1.03

0.25

2017

90.5

4.3

3.6

1.6

1913

1.16

0.55

2016

91.5

3.5

4.3

0.8

1729

1.14

0.50

2015

92.4

3.0

3.9

0.7

2120

1.13

0.48

2017

98.2

0.8

0.7

0.2

1911

1.03

0.24

2016

98.7

0.8

0.4

0.1

1730

1.02

0.17

2015

98.6

0.8

0.4

0.3

2121

1.02

0.22

2017

99.4

0.2

0.4

0.1

1914

1.01

0.15

2016

99.6

0.2

0.1

0.1

1730

1.01

0.11

2015

99.1

0.3

0.4

0.2

2120

1.02

0.20

2017

97.8

1.0

0.8

0.3

1913

1.04

0.27

2016

97.2

1.2

1.0

0.5

1725

1.05

0.31

2015

97.7

0.8

0.8

0.7

2120

1.04

0.31

2017

99.5

0.2

0.3

0.1

1913

1.01

0.13

2016

99.7

0.1

0.1

0.1

1725

1.01

0.10

2015

99.4

0.2

0.2

0.2

2122

1.01

0.16

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 39

30b

Percent of respondents who indicated they personally experienced any of the listed behaviours. The data are derived from the response to the question reported in the table above and include all respondents who reported that they had personally experienced, at least "Once," any of the behaviours listed. Those who reported that they "Never" experienced any of the behaviours listed in the table above make up the "No" category in the following table. Note: This table is derived from the question reported in the previous table and did not appear as a question in the 2017 GQ. Comparison to 2015 and 2016 data is not possible for this question. 2017 Count

2017 Percent

Yes

1141

59.6

No

773

40.4

Respondents: 1914

GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 40

Financial Information 31a

What is the approximate amount of debt (in Canadian dollars) that you have accumulated directly related to your medical studies? Response options: None - I have no debt directly related to my medical studies ($0); The approximate amount is (please specify); I have debt but I prefer not to provide the approximate amount; I have debt but I do not know the approximate amount." Note: Comparison to 2015 data is not possible for this question.

Provided amount Preferred not to provide Did not know None ($0)

2016 Count

2016 Percent

2017 Count

2017 Percent

1280

74.2

1376

72.0

124

7.2

182

9.5

84

4.9

68

3.6

237

13.7

286

15.0

Respondents: 1912

31b

What is the approximate amount of debt (in Canadian dollars) that you have accumulated directly related to your medical studies? Note: This question was only asked of respondents who provided an amount in the previous table. Calculation of measures of central tendency and dispersion include only those who provided an amount and were based on the amount provided, not the categories created for reporting. Comparison to 2015 data is not possible for this question. 2016 Count

2016 Percent

2017 Count

2017 Percent